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What the refund policy actually says: Refunds are issued in one specific circumstance only: if a licensed provider determines you are medically ineligible for the Subscription Services

Common deficiencies following gastric sleeve surgery include: Iron particularly in premenopausal women Vitamin B12 due to reduced intrinsic factor production Vitamin D and calcium affecting bone health Folate and thiamine (vitamin B1) especially in those with poor dietary variety or persistent vomiting Zinc and magnesium which can become depleted and require monitoring In line with guidance from the British Obesity and Metabolic Surgery Society (BOMSS) , post-bariatric patients should undergo scheduled blood tests to monitor nutritional status typically at 3, 6, and 12 months post-operatively, and annually thereafter

At present, triple-action injectable therapies: are not licensed anywhere globally are not available privately or on the NHS have no confirmed UK release timeline are not supplied or recommended in UK clinical practice Patients should be cautious about any online claims suggesting early access outside regulated healthcare pathways

Our study did not specifically investigate the reasons for discontinuation, so further research would be needed to answer this question definitively. Bartelt added that health care providers should discuss the potential for weight regain after discontinuation with their patients and reiterate the importance of incorporating other weight management strategies, such as diet and exercise. Future research could focus on understanding the reasons for weight regain after discontinuation of these drugs and explore the long-term effects these drugs have on weight management and other side effects, she said

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